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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AKILIS MIKE THEOHARIDIS, D.P.M

Active

DR. AKILIS MIKE THEOHARIDIS, D.P.M is a Foot Surgery Podiatrist healthcare provider located in GLADSTONE, Missouri. NPI 1912933474 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · GLADSTONE, MO

Registration Details

NPI Number
1912933474
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2006 (19.957252442236 yrs)
Last Updated
Dec 23, 2020
Licenses
000747 (MO)
12-00294 (KS)
000747 (MO)

Practice Information

Address
407 NE 76TH TER
GLADSTONE, MO, 641181708
Browse MO providers · Browse ZIP 64118
Phone
8164367900
Fax
8164360999
Primary Specialty
Foot Surgery Podiatrist
213ES0131X
Additional Specialty
Foot Surgery Podiatrist
Additional Specialty
Foot Surgery Podiatrist

Other Foot Surgery Podiatrist Providers in GLADSTONE, MO

Name Credential NPI
DR. THOMAS CHAD HEWITT D.P.M. 1508980657
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.